License Verification

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JAY FREDRICK KIOKEMEISTER

License Number: OS21514

Data As Of 9/9/2025

Profession
Osteopathic Physician
License
OS21514
License Status
Clear/Active
License Expiration Date
3/31/2026
License Original Issue Date
10/14/2024
Address of Record
7457 S State Rd #300
BEDFORD PARK, IL 60638
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
CARBONELL, JAVIER Subordinate Anesthesiologist Assistants 735 9/5/2025
DEROBERTIS, DOMENIC Subordinate Anesthesiologist Assistants 698 9/5/2025
REEDY, LAURA Subordinate Anesthesiologist Assistants 1066 9/5/2025
TSONAS, ALANA NOEL Subordinate Anesthesiologist Assistants 820 9/5/2025
WILDING, MATTHEW RICHARD Subordinate Anesthesiologist Assistants 107 10/1/2021

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 9/9/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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